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1083375406
DEXTER ANTONIO WADE
BALTIMORE, MD
NPI
1083375406
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD AC1502)
Enumeration Date
2022-01-07
Last Update Date
2022-01-07
Business Address
Mr. DEXTER ANTONIO WADE MS, CAC-AD
3455 WILKENS AVE LOWR LEVEL20
BALTIMORE, MD 21229-5213
Phone number: 410-646-6970
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Mailing Address
Mr. DEXTER ANTONIO WADE MS, CAC-AD
3455 WILKENS AVE LOWR LEVEL20
BALTIMORE, MD 21229-5213
Phone number: 410-646-6970
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